DR. RONALD J. CARR D.D.S., M.S., P.C. NPI 1003008079

Dentist (Orthodontics and Dentofacial Orthopedics) in Odessa, TX

About RONALD CARR

Ronald Carr is a provider in Odessa, TX. The NPI number assigned to this provider is 1003008079. The practitioner's primary taxonomy code is Dentist (1223X0400X). The provider is registered as an individual and their NPI record was last updated 10 years ago.

NPI1003008079 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. RONALD J. CARR D.D.S., M.S., P.C.
Provider Location Address4917 PLAZA AT PARKWAY ODESSA, TX 79762 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address4917 PLAZA AT PARKWAY ODESSA, TX 79762 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-14-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-14-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. RONALD J. CARR D.D.S., M.S., P.C.
4917 PLAZA AT PARKWAY
ODESSA, TX
ZIP 79762
Phone: (432) 362-4374
Fax: (432) 367-6046
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Mailing Address

DR. RONALD J. CARR D.D.S., M.S., P.C.
4917 PLAZA AT PARKWAY
ODESSA, TX
ZIP 79762
Phone: (432) 362-4374
Fax: (432) 367-6046

Primary Taxonomy

Taxonomy Code1223X0400X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationDentist
TypeDental Providers
SpecializationOrthodontics and Dentofacial Orthopedics
License No.14909
License StateTX
Taxonomy DescriptionThat area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Map Location


DR. RONALD J. CARR D.D.S., M.S., P.C. address is 4917 PLAZA AT PARKWAY ODESSA, TX 79762